Active NPI
Jesus Rene Guerra, FNP
- Family Nurse Practitioner
- Weslaco, TX
National Provider Identifier
1558610477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 617448
- Practice address
- 906 S. Bridge Ave.
Weslaco, TX 78596 - Phone
- (956) 447-8600
- Fax
- (956) 447-0335
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 617448 | TX | Primary |
Addresses
Primary practice location
906 S. Bridge Ave.
Weslaco, TX 78596
Mailing address
1259 Chloe Rae Circle
Weslaco, TX 78596
Phone (956) 447-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 617448 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedro J. Penalo, M.D., PLLC | Current | Accepting new patients |
Locations
330 N Ohio Ave
Mercedes, TX 78570
Phone (956) 565-1561
906 S Bridge Ave
Weslaco, TX 78596
Phone (956) 447-8600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Weslaco, TX
- NPI 1043515166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1558610477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 CHLOE RAE CIRCLE",
"city": "WESLACO",
"state": "TX",
"postal_code": "78596",
"telephone_number": "956-447-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 S. BRIDGE AVE.",
"city": "WESLACO",
"state": "TX",
"postal_code": "78596",
"telephone_number": "956-447-8600",
"fax_number": "956-447-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "JESUS",
"middle_name": "RENE",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "617448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.